Individual
JASON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP
Contact information
Practice address
6210 WILSHIRE BLVD, 207, LOS ANGELES, CA 90048-5105
(323) 702-2706
Mailing address
12211 LAUREL TERRACE DR, STUDIO CITY, CA 91604-3608
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3167
CA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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